Eyecare Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYECARE MEDICAL GROUP

Practice address

53 Sewall Street
Portland, ME 04102

Phone

(207) 828-2020

Fax

(207) 773-7034

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynn Shorty, RN, CMPE

Title

Chief Operating Officer

Phone

(207) 791-8234

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eyecare Medical Group

  • Ambulatory Surgical Clinic/Center
  • Portland, ME
  • NPI 1376599381

  7517995129

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eyecare Medical Group Optical Shop

  • Eyewear Supplier
  • Portland, ME
  • NPI 1184729915

  O20100930079537

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eyecare Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eyecare Medical Group

  • Ambulatory Surgical Clinic/Center
  • Portland, ME
  • NPI 1376599381
  NPD tax ID
• Eyecare Medical Group

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1831430461
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: bhayes@eyecaremed.intellechartdirect.net
• Direct secure messaging: asise@eyecaremed.intellechartdirect.net
• Direct secure messaging: jlippincott@eyecaremed.intellechartdirect.net
• Direct secure messaging: aparnes@eyecaremed.intellechartdirect.net
• Direct secure messaging: kpacker@eyecaremed.intellechartdirect.net
• Direct secure messaging: khill@eyecaremed.intellechartdirect.net
• Direct secure messaging: jnguyen@eyecaremed.intellechartdirect.net
• Direct secure messaging: rfrance@eyecaremed.intellechartdirect.net
• Direct secure messaging: rshah@eyecaremed.intellechartdirect.net
• Direct secure messaging: rdaly@eyecaremed.intellechartdirect.net
• Direct secure messaging: nkahn@eyecaremed.intellechartdirect.net

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Hill, O.D.

  • Optometrist
  • Portland, ME
  • NPI 1255767620
  Medicare reassignment Care Compare group NPD
• Natan D Kahn, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Portland, ME
  • NPI 1568468635

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• John Kenneth Lippincott, MD

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1871094110
  Medicare reassignment Care Compare group NPD
• Robert W Daly, M.D.

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1215032685
  Medicare reassignment NPD
• Richard M France, MD

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1720427008
  Medicare reassignment NPD
• Bartlett H Hayes, M.D.

  • Ophthalmology Physician
  • Ellsworth, ME
  • NPI 1821106147
  Medicare reassignment NPD
• Jackie K Nguyen, MD

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1326094533
  Medicare reassignment NPD
• Kyle Packer, M.D.

  • Ophthalmology Physician
  • Sanford, ME
  • NPI 1598197436
  Medicare reassignment NPD
• Aaron Jacob Parnes, M.D.

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1780888586
  Medicare reassignment NPD
• Ravindra Arvindkumar Shah, MD

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1801032800
  Medicare reassignment NPD
• Adam Burchard Sise, M.D.

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1891010997
  Medicare reassignment NPD
• Jordan Eric Sterrer, MD

  • Ophthalmology Physician
  • Portland, ME
  • NPI 1386651479
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1467557280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022625",
            "telephone_number": "207-828-2020",
            "fax_number": "207-773-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SEWALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-828-2020",
            "fax_number": "207-773-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 Congress St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022100",
            "country_code": "US",
            "telephone_number": "207-828-2020",
            "fax_number": "207-773-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYECARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "SHORTY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-791-8234",
        "authorized_official_credential": "RN, CMPE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109280200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Recovery LLC
• Evergreen Recovery LLC
• Carole Ewald, LCSW
• Marissa Exchange
• Eyecare Medical Group
• Eyecare Medical Group
• Eyecare Medical Group Optical Shop
• Eyecare Today, PA
• Eyes on Rosemont LLC
• Eyes on Rosemont LLC

• Ophthalmology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Ophthalmology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.